MEDICARE: HEALTH CENTER PHARMACY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PP412062L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407876618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CENTER PHARMACY, INC.

Provider Business Mailing Address
First Line	:	4164 NATIONAL PIKE
Second Line	:
City	:	FARMINGTON
State	:	PA
Zip	:	15437-1344
Country	:	US
Telephone Number	:	724-329-4620
Fax Number	:	724-329-0508

Provider Business Practice Location Address
First Line	:	4164 NATIONAL PIKE
Second Line	:
City	:	FARMINGTON
State	:	PA
Zip	:	15437-1344
Country	:	US
Telephone Number	:	724-329-4620
Fax Number	:	724-329-0508

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	JOSEPH D CITRO
Credential	:	RPH
Telephone Number	:	724-329-4620

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	11/23/2021

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